
WHAT
WE DO
The Foundation of the Finish Line :
Comprehensive Support for our Backstretch Community.
Healthcare
Access & Prevention
Ensuring backstretch workers can access quality medical care where they live & work. • On-property primary healthcare clinics (Belmont & Saratoga) • Annual physicals and preventive screenings • Vision and dental care coordination • Specialist referrals and appointment scheduling • Medical interpretation services • Workers’ compensation case coordination • Transportation to medical appointments and pharmacies • Health insurance enrollment assistance
Recovery &
Substance Use Support
Helping individuals achieve stability, recovery, and long-term wellness. • Outpatient substance use disorder treatment • Individual and group counseling • Recovery support groups • Medication-assisted treatment (MAT) • Toxicology screening and monitoring • On-site recovery housing
Mental Health &
Emotional Well-Being
Providing confidential, culturally responsive mental health care on the backstretch. • Individual psychotherapy • Trauma-informed clinical care • Crisis intervention and stabilization • Suicide risk assessment, prevention, and intervention • Domestic and intimate partner violence counseling and safety planning • Holistic, person-centered treatment planning
Education &
Workforce Empowerment
Building skills, safety, and opportunity for long-term independence. • English as a Second Language (ESL) • Citizenship and immigration education • Workplace safety and compliance training • Narcan training • Sexual harassment prevention training • Healthy living and wellness education
Community, Dignity & Connection
Creating a supportive, inclusive community on the backstretch. • Community Garden • Women’s Group • Tuesday Lunches • BEST “Turned Out Groom” recognition • Bistro Cafe • Backstretch Appreciation Events, including dinners, bingo, field trips, & seasonal celebrations
Transportation &
Essential Services
Removing barriers so workers can access care, services, and stability. • Transportation to medical, government, and essential appointments • Social Security, DMV, banking, and citizenship appointments • Free store (clothing and essentials) • Free tax preparation • NYS Gaming Commission licensing assistance • Life insurance enrollment • Translation and clerical support
2025 by the Numbers.
3,200+
Primary Care Visits
930+
Specialist Visits
700+
Mental Health
Counseling Sessions
640+
Recovery & Substance
Use Support
1,500+
Educational Hours
5,000+
Transportation
Rides
Life on the Backstretch.

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